Individual provider Active NPI

Toniesha N Utuk, DPT

  • Physical Therapist
  • Cinnaminson, NJ
National Provider Identifier
1861753089
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01440200 Issued in NJ
Practice address
1905 Cinnaminson Ave
Cinnaminson, NJ 08077-2818
Phone
(609) 248-0844
Fax
(609) 248-0844
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00133300 NJ
Physical Therapist 225100000X 40QA01440200 NJ Primary

Addresses

Primary practice location

1905 Cinnaminson Ave
Cinnaminson, NJ 08077-2818

Mailing address

1905 Cinnaminson Ave
Cinnaminson, NJ 08077-2818

Other names 1

  • Toniesha N Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000484 NJ Practitioner - Physical Therapist in Private Practice 4981869633 Reassigns benefits to 1 organization
Practice locations: Cinnaminson, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01440200NJMDPhysical Therapist
18KT00133300NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol9 Physical Therapy and Rehab CurrentSince Jan 1, 2016 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Trubody Physical Therapy Physical Therapist Past Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

1905 Cinnaminson Ave
Cinnaminson, NJ 08077
Phone (609) 248-0844

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1861753089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CINNAMINSON AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CINNAMINSON AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772818",
            "telephone_number": "609-248-0844",
            "fax_number": "609-248-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTUK",
        "first_name": "TONIESHA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00133300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01440200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIESHA",
            "last_name": "HOWARD",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.